Imajin se yu dɔn gɛt fiva fɔ sɔm dez, fil taya bad bad wan, ɛn fil se yu nɔ gɛt layf... Wi kin tink se dis na sɔntɛm vayral fiva. Bɔt sɔntɛnde, biɛn dɛn kayn sayn ya, kin gɛt wan stori we rili siriɔs we dɛn kin ayd. Dat min se, wan bad bad infεkshכn we de afekt di at insεf. Tide, wi go tɔk bɔt dis kayn siriɔs ɛn layf de pan denja lɛk ‘Infective Endocarditis’ ɛn we i nid fɔ gɛt ɔpreshɔn. Pan ɔl we dis na tɔpik we kɔmplikt smɔl, a go ɛksplen am to una insay wan rili simpul we, so dat una go ɔndastand am.
Fɔ tɔk am simpul wan, wetin na Infective Endocarditis?
Dis nem de mek yu fred smɔl, nɔto so? Bɔt lɛ wi kip am simpul. Wi blɔd de travul ɔlsay na wi bɔdi tru wi vein dɛn. Sɔntɛnde, jεm lεk baktri ɔ fεn kin go insay dis bכdi sistεm. Nɔmal wan, di imyun sistɛm na wi bɔdi kin fɛt dɛn ɛn pwɛl dɛn.
Bɔt sɔntɛnde dɛn jem ya, we de travul tru di blɔd, kin rich na di at valv dɛn, usay dɛn kin stik ɛn tek rut, ɛn dis kin mek big big infekshɔn. Na dat wi kin kɔl ``Infective Endocarditis''.
Tink bɔt di valv dɛn we de na wi at lɛk get dɛn. Dɛn nid fɔ opin ɛn lɔk fayn so dat blɔd go go na wan say nɔmɔ. di hat valv we hεlty kin rili sכft, so di jεm dεm nכ kin stik to am izi wan. Bɔt if pɔsin in at valv wik frɔm we dɛn bɔn am ɔ ɔda sik dɔn pwɛl am, di say we i de rɔf kin rɔf. Lɛk wan ol wɔl. Dɛn rɔf rɔf ples dɛn de kin trap di jem dɛn na di blɔd.
Jɛm kin kam insay wi bɔdi we wi de du di tin dɛn we wi kin du ɔltɛm fɔ mɛn di tit, lɛk fɔ pul di tut, fɔ du di tit, ɛn fɔ du ɛndoskopi. Pan ɔl we dis nɔ kin bi big prɔblɛm fɔ pɔsin we gɛt wɛlbɔdi, i kin denja fɔ pɔsin we gɛt prɔblɛm wit in at valv.
Aw dis tin kin afɛkt yu wɛlbɔdi?
Wans wan jem dɔn lod insay wan at valv, i nɔ kin jɔs de de. Di jem dɛn kin sheb, bɔku, ɛn mek big big kɔloni dɛn. Insay mɛrɛsin, wi kin kɔl dɛn grup ya we gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Dɛn `(vegetations)` ya de du wan wok we rili denja.
1. Damej to di valv dεm: dεn baktri dεm ya de rilis kεmεkal dεm, we lεk di εnzym dεm we dεn de yuz fכ daygεst it. Dɛn tin ya rili strɔng. Dɛn kin sɔlv smɔl smɔl ɛn it di dilik tisu na di at valv. Dɔn di valv nɔ kin lɔk fayn, we min se i kin bigin fɔ lik. Wi kin kɔl dis valvular regurgitation.
2. Hat Failure: We valv lik, di hat fɔ wok tranga wan pas aw i kin wok fɔ pɔmp blɔd to di bɔdi. I tan lɛk se yu de pɔmp wata frɔm bɔkit we de lik. We yu de wok ɔnda dis ɛkstra lod as tɛm de go, di at kin wik ɛn leta yu at kin pwɛl.
3. 3. .Blood clots break off and block: Sometimes, small pieces of the germs called vegetations break off and travel throughout the body with the blood. Wi kin kɔl dis brok brok pat embolis. Dis tan lɛk mɔs we brok kɔmɔt na riva ɛn flɔt insay di wata. If dis blɔd klɔt brok ɛn stɔp na wan blɔd vesel na di bren, i kin mek pɔsin strok. If i stɔp na wan vein na di lɔng, i kin mek pɔsin gɛt wan bad bad tin we dɛn kɔl pulmonary embolism. Dɔn bak, blɔd vesel we de go to wan ɔgan na di bɛlɛ ɔ wan an ɔ leg kin blok, we kin mek da pat de nɔ gɛt blɔd (ischemia).
Yu ɔndastand aw dis tin rili siriɔs? Na dat mek i rili impɔtant fɔ no bɔt dis.
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
Di tritmɛnt dipen pan di kayn jem we mek di sik ɛn aw di sik siriɔs.
- Antibayɔtik: If dɛn no di sik kwik kwik wan, sɔm tɛm dɛn de we dɛn kin mɛn di infekshɔn ɔltogɛda wit jɔs strɔng antibayɔtik we dɛn gi am insay di bɛlɛ fɔ sɔm wiks.
- Ɔpreshɔn: Bɔt if yu gɛt plant dɛn na yu at valv, if di valv dɔn pwɛl bad bad wan, ɔ if yu gɛt prɔstɛtik valv we dɛn bin dɔn put bifo, di antibayɔtik nɔmɔ nɔ go du fɔ yu. If na so i bi, i kin nid fɔ du ɔpreshɔn.
Aw kwik dɛn nid fɔ du di ɔpreshɔn?
Di tɛm we dɛn go du di ɔpreshɔn dipen pan aw yu sik siriɔs. Sɔm sik pipul dɛn kin nid fɔ gɛt ɔpreshɔn insay sɔm dez afta dɛn dɔn no se dɛn gɛt di sik. Dis na ɔpreshɔn we dɛn kin du wantɛm wantɛm. Lɛ wi luk di tebul we de dɔŋ fɔ si ustɛm dɛn nid fɔ du ɔpreshɔn pan am kwik kwik wan.
| Rizin dɛn we mek dɛn kin nid fɔ du ɔpreshɔn kwik kwik wan | Wan simpul ɛksplen |
|---|---|
| Absεs fכmeshכn rawnd di valv | Di infekshɔn dɔn skata frɔm di valv to di ɔdasay, ɛn di pus dɔn gɛda. Dis na tin we rili denja. |
| Prɛzɛns fɔ big big plant dɛn | Risk de fɔ mek dɛn pat ya brok ɛn stɔp na say dɛn lɛk di bren. |
| At we nɔ de wok fayn | Di damej we di valv dɔn pwɛl dɔn mek di at wik. If dɛn nɔ du di ɔpreshɔn kwik kwik wan, dat kin mek i day. |
| Valv chordae de brok brok | di dilik pat dεm we lεk tכd we de ol di valv in ples kin tכn bikoz fכ infεkshכn, we de mek di valv lik bכku. |
| Jɛm dɛn we at fɔ trit | Sɔm kayn fɛns ɔ baktri dɛn nɔ kin izi fɔ kɔntrol wit antibayɔtik, so dɛn fɔ kɔt di say we di sik gɛt ɛn pul am. |
Sɔntɛnde, dɛn kin delay fɔ du di ɔpreshɔn?
Yɛs, sɔntɛnde, dɔktɔ dɛn kin disayd fɔ delay di ɔpreshɔn smɔl. Tu men rizin dɛn de fɔ dat.
1. Kɔmplikɛshɔn dɛn we gɛt fɔ du wit di bren: If wan pat pan di jem dɔn brok ɛn blok wan blɔd vesel na di bren (ischemic stroke) ɔ if blɔd de kɔmɔt na di bren (intracranial hemorrhage), i go fayn fɔ mek dɛn du big ɔpreshɔn pan di at wantɛm wantɛm. Dis na bikɔs di mɛrɛsin dɛn we dɛn kin gi we dɛn de du ɔpreshɔn fɔ mek di blɔd tan, kin mek di blɔd kɔmɔt na di bren mɔ ɛn mɔ. So, na afta di bren dɔn stebul nɔmɔ dɛn kin du ɔpreshɔn.
2. Di kɔndishɔn nɔr so siriɔs: If di infekshɔn nɔr siriɔs ɛn di risk fɔ kɔmplikeshɔn nɔr bɔku, di dɔktɔ go fɔs gi yu ful kɔs fɔ antibayɔtik. Dɔn, di infɛkshɔn go dɔn kpatakpata, ɛn yu kin go ɔpreshɔn wit klin bɔdi. I go gi yu gud tɛm bak fɔ plan di ɔpreshɔn.
Aw dɔktɔ dɛn kin disayd if a nid ɔpreshɔn?
Dis nɔto tin we wan dɔktɔ nɔmɔ disayd fɔ du. Di dɔktɔ dɛn we de mɛn di at ɛn di dɔktɔ dɛn we de mɛn di at kin kam togɛda ɛn disayd fɔ du dis bay we dɛn fala di intanashɔnal gaydlayn dɛn. Dɛn kin du bɔku tɛst dɛn fɔ dat.
- Blɔd tɛst: Fɔ no ustɛm baktiria ɔ fɔngus de mek di sik.
- Ikokadiogram: .Dis na skan fɔ di at. I de luk di at valv dεm εn i kin no εksεkεkt if εni plant de, aw big dεn big, εn aw dεn dכn pwεl di valv dεm. di wan we dεn du oba di chεst dεn kכl am transthoracic echocardiogram (TTE). Sɔntɛnde, fɔ mek yu luk fayn, dɛn kin du transɛsophageal echocardiogram (TEE) tru di mɔt.
- CT skan: Dis tɛst de ɛp fɔ si if di infɛkshɔn dɔn mek prɔblɛm dɛn na ɔda pat dɛn na di bɔdi.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di kayn ɔpreshɔn we dɛn kin du kin dipen pan di kayn we aw di bad bad tin we kin apin to yu at valv. Di dɔktɔ we de du di ɔpreshɔn kin du wan ɔ mɔ pan dɛn tin ya:
- Debridement: Di fɔs tin we yu fɔ du na fɔ klin ɛn pul ɔl di tisu dɛn we gɛt di sik ɛn we dɔn day fayn fayn wan.
- Valv ripa: If di damej nɔ tu bad, dɛn go tray fɔ mek di valv we dɔn de.
- di valv rεkכnstrכkshכn: sכmtεm, dεn kin pul wan pat pan di valv εn tek wan pat pan di mεmbran we de rawnd di at (pεrikardium) εn transplant am insay fכ bil di valv bak.
- Valv riplesmɛnt: If di damej pan di valv so bad dat dɛn nɔ go ebul fɔ mek am bak, dɛn kin pul di valv ɔl ɛn put atifishal valv insay in ples.
Wetin kin apin afta di ɔpreshɔn? Ɛni risk dɛn de we kin apin?
Lɛk ɛni big ɔpreshɔn, dis ɔpreshɔn gɛt sɔm prɔblɛm dɛn. Risk de lɛk fɔ blɔd, at bit we nɔ de bit ɔltɛm (aritmia), blɔd we de klɔt, paralayz, ɛn ri-infɛkshɔn na di nyu valv we dɛn dɔn put insay. Bɔt if dɔktɔ dɔn disayd se yu nid fɔ du ɔpreshɔn, dat min se di bɛnifit dɛn we yu go gɛt we yu du ɔpreshɔn, bɔku pas we yu nɔ du am.
Afta di ɔpreshɔn, yu go nid fɔ de na di intensiv kia yunit (ICU) fɔ sɔm dez. Dɔn dɛn go transfa yu to wan rɛgyula wɔd. Yu go nid fɔ tek antibayɔtik insay yu bɛlɛ ɔ insay pil fɔ sɔm wiks fɔ pul ɛni jem we lɛf na yu bɔdi kpatakpata. Yu go nid bak fɔ rɛst bɔku tɛm afta yu dɔn go na os. I nɔmal fɔ fil taya ɛn fil pen. I kin tek sɔm mɔnt fɔ mek i wɛl ɔl.
Us tɛm a fɔ go to dɔktɔ afta di ɔpreshɔn?
Yu fɔ tek kia ɔf yu bɔdi mɔ afta yu dɔn go na os. I impɔtant fɔ no ɛni kɔmplikeshɔn kwik kwik wan. If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya, yu fɔ kɔntak yu dɔktɔ wantɛm wantɛm .
| Simptom dɛm fɔ wach fɔ | Wetin dis kin min |
|---|---|
| Fiva ɔ kol kol | I kin bi sayn fɔ se pɔsin gɛt di sik bak. |
| Rɛd, swel, wam, ɔ pus we de kɔmɔt frɔm di wund we dɛn du di ɔpreshɔn | Wan sayn fɔ wund infɛkshɔn. |
| Chɛst pen ɔ fil se yu chɛst ful-ɔp | I kin bi sayn fɔ wan sik we dɛn kɔl pericardial effusion. |
| I nɔ izi fɔ yu fɔ blo, fil lɛk se yu at de bit fast | Sɔm prɔblɛm kin de wit aw di at de wok. |
| Blɔd we nɔ kɔmɔn frɔm di wund ɔ we i tan lɛk se i gɛt bad bad brus | Prɔblɛm kin de wit di blɔd we de klɔt. |
Mɛsej we dɛn kin kɛr go na os
- Infεkshכn εndokadaytis na wan rili siriכs infεkshכn we di jεm dεm de kam insay di at valv dεm.
- If di valv dɛn dɔn pwɛl, big big plant dɛn dɔn fɔm, ɔ at dɔn pwɛl, i kin nid fɔ du ɔpreshɔn.
- Dis ɔpreshɔn kin kɔntrol di infekshɔn ɛn mek i nɔ pwɛl bad bad wan na layf.
- Di kwik we dɛn no di sik ɛn di kwik we dɛn du di ɔpreshɔn, na di mɔ i go fayn.
- I rili impɔtant fɔ mek yu wɛl fɔ fala yu dɔktɔ in instrɔkshɔn dɛn jɔs afta dɛn dɔn du di ɔpreshɔn ɛn fɔ no bɔt ɛni risk simptom.
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